2020
DOI: 10.1016/s0140-6736(20)30471-2
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Abstract: Background India has made substantial progress in improving child survival over the past few decades, but a comprehensive understanding of child mortality trends at disaggregated geographical levels is not available. We present a detailed analysis of subnational trends of child mortality to inform efforts aimed at meeting the India National Health Policy (NHP) and Sustainable Development Goal (SDG) targets for child mortality. MethodsWe assessed the under-5 mortality rate (U5MR) and neonatal mortality rate (NM… Show more

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Cited by 97 publications
(66 citation statements)
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“…Short term effect includes morbidity, mortality and poor cognitive development during early childhood ( Rice et al, 2000 ; Ijarotimi, 2013 ; Singh et al, 2017 ; Myatt et al, 2018 ). Recent estimates from India State-level Disease Burden Initiative suggest that more than 20% deaths and disease burden among Indian children under age five-years can be attributed to childhood malnutrition ( Dandona et al, 2020 ; Swaminathan et al, 2019 ). Long term consequences are poor cognitive development, poor school performance, low productive and short adult stature ( Victora et al, 2008 ; Adair et al, 2013 ; Karra & Fink, 2019 ; Paul & Singh, 2020 ).…”
Section: Introductionmentioning
confidence: 99%
“…Short term effect includes morbidity, mortality and poor cognitive development during early childhood ( Rice et al, 2000 ; Ijarotimi, 2013 ; Singh et al, 2017 ; Myatt et al, 2018 ). Recent estimates from India State-level Disease Burden Initiative suggest that more than 20% deaths and disease burden among Indian children under age five-years can be attributed to childhood malnutrition ( Dandona et al, 2020 ; Swaminathan et al, 2019 ). Long term consequences are poor cognitive development, poor school performance, low productive and short adult stature ( Victora et al, 2008 ; Adair et al, 2013 ; Karra & Fink, 2019 ; Paul & Singh, 2020 ).…”
Section: Introductionmentioning
confidence: 99%
“…According to the World Health Organization (2019), the majority (99%) of maternal deaths still occur in low-income regions of South Asia and Sub-Saharan Africa where selected countries contribute the substantial burden [ 1 , 4 , 8 , 9 ]. Within South Asia, India alone accounts for an estimated 10% of global maternal deaths or 45,000 maternal deaths annually and 20% of global under-5 child mortality with 1.04 million deaths estimated annually [ 1 , 10 , 11 ]. India accelerated the rate of maternal death decline in the latter half of the MDG period (2006–2015) due to strategic health system reforms that prioritised community health care and incentivised institutional delivery, leading to a national average of 80% institutional deliveries across rural and urban populations [ 10 – 12 ].…”
Section: Introductionmentioning
confidence: 99%
“…Within South Asia, India alone accounts for an estimated 10% of global maternal deaths or 45, 000 maternal deaths annually and 20% of global under-5 child mortality with 1.04 million deaths estimated annually [1,10,11]. India accelerated the rate of maternal death decline in the latter half of the MDG period (2006-2015) due to strategic health system reforms that prioritised community health care and incentivised institutional delivery, leading to a national average of 80% institutional deliveries across rural and urban populations [10][11][12]. Importantly, the rise in institutional deliveries has not been matched with adequate provision of Basic and Emergency Medical Obstetric Care (EMOC) in facilities in rural areas [13].…”
Section: Introductionmentioning
confidence: 99%
“…It would be attainable only if the neonatal mortality rate, the most important contributing factor for the high under-five mortality, is reduced [ 1 , 2 ]. Although the neonatal mortality has declined from 38/1000 in 2000 to 23.5/1000 in 2017 [ 3 ], it is much slower than the decline in the US mortality rate observed during the same period. Any further decline in neonatal mortality would require newer modalities to prevent/manage neonatal infections (pneumonia, septicemia, meningitis) that are responsible for more than a quarter of the 1 million neonatal deaths every year in India [ 2 ].…”
Section: Introductionmentioning
confidence: 99%